Organization Active NPI

Fecund Mentorship Inc

  • Home Health Agency
  • Jackson, NJ
National Provider Identifier
1497420871
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FECUND MENTORSHIP INC
Practice address
539 W Commodore Blvd
Jackson, NJ 08527-5406
Phone
(732) 644-8155
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Josephine Harvey
Title
President
Phone
(732) 644-8155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

539 W Commodore Blvd
Jackson, NJ 08527-5406

Mailing address

539 W Commodore Blvd
Jackson, NJ 08527-5406
Phone (732) 644-8155

Other names 1

  • Prolific Mentorship Other name

National Provider Directory

National Provider Directory
Tax ID family
Fecund Mentorship Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1497420871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMODORE BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275406",
            "telephone_number": "732-644-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMODORE BLVD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275406",
            "telephone_number": "732-644-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FECUND MENTORSHIP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-644-8155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prolific Mentorship",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prolific Mentorship",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.